Objectives: We evaluated functional outcomes in patients undergoing supracricoid partial laryngecto my SCPL .Patients and Methods: The study included 20 male patients mean age 61.5 years; range 43 to 76 years who undervvent SCPL for advanced laryngeal carcino- ma. Correlations were sought between variables age, medical history, reconstruction techniques such as cricohyoidopexy or cricohyoidoepiglottopexy, arytenoid resection and decannulation time, duration for oral feeding, weight change, and complications. The mean follow-up was 20.9 months range 7 to 39 months .Results: Ali patients were decannulated in a mean of 19.9 days. Eighty-five percent of patients achieved normal deglutition without aspiration or weight loss within six months postoperatively. The nasogastric feeding tube was removed in a mean of 39.7 days. Voice quality of patients was sufficient for their social Communications.Conclusion: Our functional results suggest that SCPL is an alternative technique to total laryngecto my in patients in whom other partial laryngectomy techniques are not considered.
Ferlito A, Silver CE, Howard DJ, Laccourreye O, Rinaldo A, Owen R. The role of partial laryngeal resec- tion in current management of laryngeal cancer: a col- lective review. Acta Otolaryngol 2000;120:456-65.
Brasnu DF, Hartl DM, Laccourreye H. Supracricoid partial laryngectomy with cricohyoidopexy. In: Weinstein G, editor. Organ preservation surgery of laryngeal cancer. 1st ed. San Diego, CA: Singular Publishing; 2000: p. 127-48.
Naudo P, Laccourreye O, Weinstein G, Hans S, Laccourreye H, Brasnu D. Functional outcome and prognosis factors after supracricoid partial laryngecto- my with cricohyoidopexy. Ann Otol Rhinol Laryngol 1997;106:291-6.
Piquet JJ, Chevalier D. Subtotal laryngectomy with crico- hyoido-epiglotto-pexy for the treatment of extended glottic carcinomas. Am J Surg 1991;162:357-61.
Adamopoulos G, Yiotakis J, Stavroulaki P, Manolopoulos L. Modified supracricoid partial laryngectomy with cricohyoidopexy: series report and analysis of re s u l t s . Otolaryngol Head Neck Surg 2000;123:288-93.
Beahrs OH, Henson DE, Hutter RVP, Myers M (edi- tors). American Joint Committee on Cancer. 3rd ed. Philadelphia: JB Lippincott; 1988.
Leipzig B. Neoglottic re c o n s t ruction following total l a r y n g e c t o m y. A reappraisal. Ann Otol Rhinol Laryngol 1980;89(6 Pt 1):534-7.
Hirano M, Kurita S, Tateishi M, Matsuoka H. Deglutition following supraglottic horizontal laryngec- t o m y. Ann Otol Rhinol Laryngol 1987;96(1 Pt 1):7-11 .
Yücetürk AV, Eğrilmez M, Özkaya D, Filiz Ü. Subtotal rekonstrüktif larenjektomi sonrası fonksiyonel sonuç- lar. KBB İhtisas Dergisi 1999;6:291-4.
Chevalier D, Piquet JJ. Subtotal laryngectomy with cricohyoidopexy for supraglottic carcinoma: review of 61 cases. Am J Surg 1994;168:472-3.
Laccourreye O, Brasnu D, Merite-Drancy A, Cauchois R, Chabardes E, Menard M, et al. Cricohyoidopexy in selected infrahyoid epiglottic carcinomas presenting with pathological preepiglottic space invasion. Arch Otolaryngol Head Neck Surg 1993;119:881-6.
Laccourreye O, Muscatello L, Laccourreye L, Naudo P, Brasnu D, Weinstein G. Supracricoid partial laryngec- tomy with cricohyoidoepiglottopexy for "early" glottic carcinoma classified as T1-T2N0 invading the anterior commissure. Am J Otolaryngol 1997;18:385-90.
Rassekh CH, Driscoll BP, Seikaly H, Laccourreye O, Calhoun KH, Weinstein GS. Preservation of the supe- rior laryngeal nerve in supraglottic and supracricoid partial laryngectomy. Laryngoscope 1998;108:445-7.
Schweinfurth JM, Silver SM. Patterns of swallowing after supraglottic laryngectomy. Laryngoscope 2000; 110:1266-70.
Logemann JA, Gibbons P, Rademaker AW, Pauloski BR, Kahrilas PJ, Bacon M, et al. Mechanisms of recov- ery of swallow after supraglottic laryngectomy. J Speech Hear Res 1994;37:965-74.
Bron L, Brossard E, Monnier P, Pasche P. Supracricoid partial laryngectomy with cricohyoidoepiglottopexy and cricohyoidopexy for glottic and supraglottic carci- nomas. Laryngoscope 2000;110:627-34.
Suprakrikoid parsiyel larenjektomi sonrası fonksiyonel sonuçlar
Year 2002,
Volume: 9 Issue: 1, 54 - 58, 03.01.2002
Amaç: Suprakrikoid parsiyel larenjektomi SKPL uygulanan hastalarda fonksiyonel sonuçları değerlendirdik.Hastalar ve Yöntemler: İleri evre larenks kanseritanısıyla SKPL uygulanan 20 erkek hasta prospektif olarak incelendi.Hastaların yaflı, tıbbi durumları, uygulanan rekonstrüksiyon teknikleri ve aritenoid kıkırdak rezeksiyonu,dekanülasyon zamanı, ağızdan beslenmeye geçiflzamanı, kilo değiflimi ve ameliyat sonrası komplikasyonlar arasında iliflki arafltırıldı. Ortalama takip süresi 20.9 ay dağılım 7-39 ay idi.Bulgular: Hastaların tamamı ortalama 19.9 gün içinde dekanüle edildi. Ameliyat sonrası altıncı aydahastaların %85’inde kilo kaybı ve aspirasyon olmaksızın yutma fonksiyonları normale döndü. Ağızdanbeslenmeye geçifl süresi ortalama 39.7 gün bulundu. Ameliyat sonrası dönemde sosyal iliflki kurabilecek düzeyde ses kalitesi sağlandı.Sonuç: Elde edilen fonksiyonel sonuçlar, diğer parsiyel larenjektomi tekniklerinin endikasyonlarınıaflan larenjeal tümörlerde, SKPL’nin total larenjektomiye alternatif olabileceğini desteklemektedir
Ferlito A, Silver CE, Howard DJ, Laccourreye O, Rinaldo A, Owen R. The role of partial laryngeal resec- tion in current management of laryngeal cancer: a col- lective review. Acta Otolaryngol 2000;120:456-65.
Brasnu DF, Hartl DM, Laccourreye H. Supracricoid partial laryngectomy with cricohyoidopexy. In: Weinstein G, editor. Organ preservation surgery of laryngeal cancer. 1st ed. San Diego, CA: Singular Publishing; 2000: p. 127-48.
Naudo P, Laccourreye O, Weinstein G, Hans S, Laccourreye H, Brasnu D. Functional outcome and prognosis factors after supracricoid partial laryngecto- my with cricohyoidopexy. Ann Otol Rhinol Laryngol 1997;106:291-6.
Piquet JJ, Chevalier D. Subtotal laryngectomy with crico- hyoido-epiglotto-pexy for the treatment of extended glottic carcinomas. Am J Surg 1991;162:357-61.
Adamopoulos G, Yiotakis J, Stavroulaki P, Manolopoulos L. Modified supracricoid partial laryngectomy with cricohyoidopexy: series report and analysis of re s u l t s . Otolaryngol Head Neck Surg 2000;123:288-93.
Beahrs OH, Henson DE, Hutter RVP, Myers M (edi- tors). American Joint Committee on Cancer. 3rd ed. Philadelphia: JB Lippincott; 1988.
Leipzig B. Neoglottic re c o n s t ruction following total l a r y n g e c t o m y. A reappraisal. Ann Otol Rhinol Laryngol 1980;89(6 Pt 1):534-7.
Hirano M, Kurita S, Tateishi M, Matsuoka H. Deglutition following supraglottic horizontal laryngec- t o m y. Ann Otol Rhinol Laryngol 1987;96(1 Pt 1):7-11 .
Yücetürk AV, Eğrilmez M, Özkaya D, Filiz Ü. Subtotal rekonstrüktif larenjektomi sonrası fonksiyonel sonuç- lar. KBB İhtisas Dergisi 1999;6:291-4.
Chevalier D, Piquet JJ. Subtotal laryngectomy with cricohyoidopexy for supraglottic carcinoma: review of 61 cases. Am J Surg 1994;168:472-3.
Laccourreye O, Brasnu D, Merite-Drancy A, Cauchois R, Chabardes E, Menard M, et al. Cricohyoidopexy in selected infrahyoid epiglottic carcinomas presenting with pathological preepiglottic space invasion. Arch Otolaryngol Head Neck Surg 1993;119:881-6.
Laccourreye O, Muscatello L, Laccourreye L, Naudo P, Brasnu D, Weinstein G. Supracricoid partial laryngec- tomy with cricohyoidoepiglottopexy for "early" glottic carcinoma classified as T1-T2N0 invading the anterior commissure. Am J Otolaryngol 1997;18:385-90.
Rassekh CH, Driscoll BP, Seikaly H, Laccourreye O, Calhoun KH, Weinstein GS. Preservation of the supe- rior laryngeal nerve in supraglottic and supracricoid partial laryngectomy. Laryngoscope 1998;108:445-7.
Schweinfurth JM, Silver SM. Patterns of swallowing after supraglottic laryngectomy. Laryngoscope 2000; 110:1266-70.
Logemann JA, Gibbons P, Rademaker AW, Pauloski BR, Kahrilas PJ, Bacon M, et al. Mechanisms of recov- ery of swallow after supraglottic laryngectomy. J Speech Hear Res 1994;37:965-74.
Bron L, Brossard E, Monnier P, Pasche P. Supracricoid partial laryngectomy with cricohyoidoepiglottopexy and cricohyoidopexy for glottic and supraglottic carci- nomas. Laryngoscope 2000;110:627-34.
Aygenç, E., Çelikkanat, S., Özbek, C., Dere, H., et al. (2002). Suprakrikoid parsiyel larenjektomi sonrası fonksiyonel sonuçlar. The Turkish Journal of Ear Nose and Throat, 9(1), 54-58.
AMA
Aygenç E, Çelikkanat S, Özbek C, Dere H, Özdem C. Suprakrikoid parsiyel larenjektomi sonrası fonksiyonel sonuçlar. Tr-ENT. January 2002;9(1):54-58.
Chicago
Aygenç, Erdinç, Serdar Çelikkanat, Cem Özbek, Hüseyin Dere, and Cafer Özdem. “Suprakrikoid Parsiyel Larenjektomi Sonrası Fonksiyonel sonuçlar”. The Turkish Journal of Ear Nose and Throat 9, no. 1 (January 2002): 54-58.
EndNote
Aygenç E, Çelikkanat S, Özbek C, Dere H, Özdem C (January 1, 2002) Suprakrikoid parsiyel larenjektomi sonrası fonksiyonel sonuçlar. The Turkish Journal of Ear Nose and Throat 9 1 54–58.
IEEE
E. Aygenç, S. Çelikkanat, C. Özbek, H. Dere, and C. Özdem, “Suprakrikoid parsiyel larenjektomi sonrası fonksiyonel sonuçlar”, Tr-ENT, vol. 9, no. 1, pp. 54–58, 2002.
ISNAD
Aygenç, Erdinç et al. “Suprakrikoid Parsiyel Larenjektomi Sonrası Fonksiyonel sonuçlar”. The Turkish Journal of Ear Nose and Throat 9/1 (January 2002), 54-58.
JAMA
Aygenç E, Çelikkanat S, Özbek C, Dere H, Özdem C. Suprakrikoid parsiyel larenjektomi sonrası fonksiyonel sonuçlar. Tr-ENT. 2002;9:54–58.
MLA
Aygenç, Erdinç et al. “Suprakrikoid Parsiyel Larenjektomi Sonrası Fonksiyonel sonuçlar”. The Turkish Journal of Ear Nose and Throat, vol. 9, no. 1, 2002, pp. 54-58.
Vancouver
Aygenç E, Çelikkanat S, Özbek C, Dere H, Özdem C. Suprakrikoid parsiyel larenjektomi sonrası fonksiyonel sonuçlar. Tr-ENT. 2002;9(1):54-8.